Alexander L. Dodds

The influence of pre-operative Computed Tomography (CT) on surgical approach and fixation for fractures of the tibial plateau

Thomas A. Fleming, Peter Alexander G. Torrie, Thomas A. Murphy, Alexander L. Dodds et autres

Background: It is well known that a computed tomography (CT) scan improves the classification of tibial plateau fractures (TPF) compared with radiographs. However, it is less clear how this translates into clinical practice. The aim of this study is to establish to …

Rehabilitation versus surgical reconstruction for non-acute anterior cruciate ligament injury (ACL SNNAP): a pragmatic randomised controlled trial

David John Beard, Loretta J Davies, Jonathan Alistair Cook, Jamie R. Stokes et autres

BACKGROUND: Anterior cruciate ligament (ACL) rupture is a common debilitating injury that can cause instability of the knee. We aimed to investigate the best management strategy between reconstructive surgery and non-surgical treatment for patients with a non-acute ACL injury and persistent symptoms …

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Return to work after medial opening wedge high tibial osteotomy

Cezary Kocialkowski, Darshan S. Angadi, Alexander L. Dodds, Harminder S. Gosal

High tibial osteotomy (HTO) is frequently performed in young and physically active patients with knee medial compartment osteoarthritis and varus deformity. There is however, limited evidence on the function of patients after returning to work following HTO. The main objective of this …

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Magnetic resonance imaging appearances of the capsulo-osseous layer of the iliotibial band and femoral attachments of the iliotibial band in the normal and pivot-shift ACL injured knee

Monica Khanna, Chimnay Gupte, Alexander L. Dodds, Andy M. Williams et autres

BACKGROUND: Biomechanical evidence suggests that the anterolateral structures of the knee may be important restraints against anterolateral rotatory instability (ALRI) in the setting of anterior cruciate ligament (ACL) injury. OBJECTIVE: To describe the anatomy and presence of injury of the capsule-osseous layer …

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Outcome following total knee replacement in patients with a previous patellectomy.

Alexander L. Dodds, Richard Crowley, Tony Menz, Tony Spriggins et autres

Although patellectomy is a rarely performed surgical procedure, patients may still progress to develop osteoarthritis of the tibiofemoral compartments leading to total knee replacement surgery. Due to the mechanical disadvantage of a previous patellectomy, it has previously been suggested that a prosthesis …

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The anterolateral structures of the knee and the pivot shift

Alexander L. Dodds

Current standard techniques used for anterior cruciate ligament reconstruction are unable to restore normal knee biomechanics. One explanation for this is that ongoing anterolateral rotatory instability is due to damage to anterolateral knee structures that current surgical techniques fail to address. Focus …

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The Ability of Medial Patellofemoral Ligament Reconstruction to Correct Patellar Kinematics and Contact Mechanics in the Presence of a Lateralized Tibial Tubercle

Joanna M. Stephen, Alexander L. Dodds, Punyawan Lumpaopong, Deiary F. Kader et autres

BACKGROUND: Tibial tubercle (TT) transfer and medial patellofemoral ligament (MPFL) reconstruction are used after patellar dislocations. However, there is no objective evidence to guide surgical decision making, such as the ability of MPFL reconstruction to restore normal behavior in the presence of …

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The Effect of Tibial Tuberosity Medialization and Lateralization on Patellofemoral Joint Kinematics, Contact Mechanics, and Stability

Joanna M. Stephen, Punyawan Lumpaopong, Alexander L. Dodds, Andy M. Williams et autres

BACKGROUND: Tibial tuberosity (TT) transfer is a common procedure to treat patellofemoral instability in patients with elevated TT-trochlear groove (TG) distances. However, the effects of TT lateralization or medialization on patellar stability, kinematics, and contact mechanics remain unclear. HYPOTHESIS: Progressive medialization and …

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Assessing Performance in Shoulder Arthroscopy: The Imperial Global Arthroscopy Rating Scale (IGARS)

Sofía Bayona, Kash Akhtar, Chinmay M. Gupte, Roger J. Emery et autres

BACKGROUND: Surgical training is undergoing major changes with reduced resident work hours and an increasing focus on patient safety and surgical aptitude. The aim of this study was to create a valid, reliable method for an assessment of arthroscopic skills that is …

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Revision surgery for failed anterior cruciate ligament reconstruction in the knee

Alexander L. Dodds, Adrian Bauze, Gregory C.R. Keene

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The anterolateral ligament

Alexander L. Dodds, Camilla Halewood, Chinmay Madhukar Gupte, Andy M. Williams et autres

There have been differing descriptions of the anterolateral structures of the knee, and not all have been named or described clearly. The aim of this study was to provide a clear anatomical interpretation of these structures. We dissected 40 fresh-frozen cadaveric knees …

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Severe Heterotopic Ossification following Total Knee Replacement

Alexander L. Dodds, Gregory C.R. Keene

Although the incidence of minor heterotopic ossification is probably higher than what is usually expected, severe heterotopic ossification (HO) is an extremely rare event following total knee replacement surgery. We present the case of a 66-year-old woman who initially had achieved an …

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